Safety and efficacy of single-incision sling for female stress urinary incontinence: 3 years’ results
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Date
2016
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Abstract
Introduction and hypothesis: The purpose of this study was to investigate the success and complication rates of single-incision sling for treating stress urinary incontinence (SUI), with a 3-year follow-up. Methods: This study comprised 173 female patients with SUI or mixed urinary incontinence (MUI) with dominant SUI who underwent minisling procedure. All patients had positive cough stress test preoperatively; they were followed up for 3 years after surgery (1, 3, 6, 12 months, and yearly). Results: Total follow-up was 36 months, and mean age 51 years (44–77); 128 (74 %) patients presented SUI and 45 (26 %) MUI. Objective and subjective cure and failure rates were 83.8 % (145 cases), 6.4 % (11 cases), and 9.8 % (17 cases), respectively. There were no differences in cure rates between 1 and 3 years. Mean body mass index was 28.7 (26.1–35.2), and mean operating time 7.9 min. (6.5–11.9). There were no major intraoperative complications. Eleven patients (6.4 %) had de novo urge incontinence that resolved using anticholinergic drugs; no patient had urinary retention. Vaginal mesh extrusion was reported in nine (5.2 %) patients. Conclusions: The minisling system attained high success rates at 3 years’ follow-up. The procedure was easy to learn and has lower complication rate. © 2016, The International Urogynecological Association.
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Adult , Aged , Female , Follow-Up Studies , Gynecologic Surgical Procedures , Humans , Middle Aged , Operative Time , Postoperative Period , Prospective Studies , Statistics, Nonparametric , Suburethral Slings , Surgical Mesh , Time Factors , Treatment Outcome , Ultrasonography , Urinary Bladder , Urinary Incontinence, Stress , antiinflammatory agent , cholinergic receptor blocking agent , adult , aged , Article , clinical outcome , coughing , female , follow up , human , incision , inguinal pain , major clinical study , medical device complication , mixed incontinence , multicenter study , postoperative analgesia , postoperative care , postoperative complication , postoperative infection , postoperative pain , preoperative period , priority journal , prospective study , recurrent infection , stress incontinence , suburethral sling , suburethral sling procedure , urge incontinence , urinary tract infection , urinary tract surgery , vaginal mesh extrusion , adverse effects , bladder , clinical trial , diagnostic imaging , echography , evaluation study , gynecologic surgery , middle aged , nonparametric test , operation duration , postoperative period , procedures , suburethral sling , surgical mesh , time factor , treatment outcome , Urinary Incontinence, Stress